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Michigan rates for HCPCS E1029

Wheelchair accessory, ventilator tray, fixed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.72 / $338.72 / $338.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.92 / $338.72 / $350.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $350.36 / $630.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.91 / $28.92 / $341.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.58 / $35.59 / $521.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.92 / $219.78 / $219.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.78 / $237.97 / $517.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $321.58 / $444.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $110.65 / $237.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.27 / $220.00 / $369.54